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pece_annotation_1478467302

Sara.Till

1) Janey Ensminger Act: the act, finally passed in August of 2012, provides health care to veterans and family members who were exposed to contaminated water while in residence at Camp Lejeune. The bill specifically lists illnesses linked to the chemicals found in the water supply, thus does not extend unlimited coverage to all former residents. Moreover, those who receive care under the bill must have resided at Camp Lejeune for 30 days or more.

2)The Few, The Proud, The Forgotten: a website created in order to inform Marine/Navy personnel, dependents, and civilian residents of Camp Lejeune exposure. The website also seeks to help these individuals understand their rights under the legislation and as victims. It also provides an illness registration and photo gallery, demonstrating itself to be a page dedicated to informing all aspects of these incidents.

3) TCE: as a former organic chemistry TA and student, the chemical nature of TCE and other VOC's intrigues me. As a student of physiology, it's important to understand how certain chemical properties can effect the body; particularly in regard to pathologies that could arise from exposure. As a halocarbon, the compound demonstrates relative stability and has many industrial uses; however, this stability causes difficulty in disposing, as they do not readily degrade in typical environments, leading to accumulation. Moreover, TCE has specifically been shown to work as a central nervous system depressor. Its interaction with electrical regulation of nervous cells (and thus, action potential propagation) causes a general anesthesia effect-- leading to depressed functioning of the CNS and, in high enough doses, suppression of cardiac and respiratory function. It should also be noted that the cardiovascular system primarily operates under electrical control as well, resulting in a possible link between TCE exposure and arrhythmia 

pece_annotation_1478900879

joerene.aviles

The narrative is sustained through Atul Gawande's experience and research into improving his end-of-life care for his own patients by meeting with other healthcare professionals (oncologists, palliative care experts and surgeons), and analyzing his actions with his father. The film has strong emotional appeal, as loss of loved ones is a common experience, and difficult for all parties involved. 

Scientific info isn't really in depth (disease processes aren't talked about) mostly just psycho-social aspects discussed. 

pece_annotation_1479066671

Sara.Till

Emergency response is not specifically addressed in the article. However, medical professional-patient relations are a key component of emergency response; as such, Dr. Good's assertions surrounding patient narrative should be taken into consideration in emergency situations. He notes that the methodology and cultural nuances of narration can provide a cornucopia of information that would otherwise be ignored.  

pece_annotation_1480273848

Sara.Till

This report has been cited by 22 other works-- including articles, books, reports, reviews, and studies. This includes several these, book chapters, and dissertations. It appears mostly in anthropological and STSS works, indicating it has yet to move from these social sciences into the realms of policy. 

pece_annotation_1473614637

Sara.Till

"Unfortunately, 'normal' in Haiti includes perpetual political turmoil... That kind of political morass is one big reason-- though by no means the only one-- why the billions in relief and recovery aid haven't been enough to rescue Haiti from the disaster that fate keeps flinging its way."

"A growing reliance on U.S. and other international contractors helps explain why the payoff of foreign aid in Haiti often seems so low."

""International companies had to fly in, rent hotels and cars, and spend USAID allowances for food and cost­of­living expenses," Johnston wrote in the Boston Review last year. So­called danger pay and hardship pay inflated salaries by more than 50 percent"

pece_annotation_1480890445

Sara.Till

1) "On an individual level, disagreements over treatment can arise when there are competing ideas about the cause and most appropriate treatment of disease. The weak and sometimes nonfunctioning health systems that often characterize complex security environments can compound these challenges and contribute to a milieu of mistrust that sets the stage for violence against health workers, facilities and transportation"

2) "There are also often inconsistencies in the categories used to describe perpetrators e e.g. terrorist, state actors, non-state actor e and these categories have legal ramifications under both International Humanitarian Law and in national legal frameworks. Although a standardizing of terminology and scope of study would be welcome, this has proven difficult."

3) "Although violence directly affecting health service delivery in complex security environments has received a great deal of media attention, there is very little publically available research, particularly peer-reviewed, original research. Only thirty-eight articles met the original search criteria outlined in the methods section, of which only eleven contained original research; a further citation search yielded another four original research articles."